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Online Resumes with "Customer Service Claims"
Claims Adjuster - 15 Years of Experience - Near 30039
Dear Insurance Company, This letter is to express my interest in the position as the Workers’ Comp Claims Specialist. I have gained knowledgeable skills in customer service, claims handling, and computer navigation. I am confident that I would be a great asset to your team. My qualifications include over 15 years of progressive claims investigations and customer service skills acquired through working for insuran...
Tags for this Online Resume: remote work, Medical insurance
Compliance Officer - 10 Years of Experience - Near 20866
Ensure compliance and promote the best interest of the company and its employees to the best of my ability.
Ideal Companies: AARP, United Health, World Health Organization
Tags for this Online Resume: communications, health admin, claims, Medicare, Medicaid, Managed Care, Systems, C, MS Project
Claims Examiner - 20 Years of Experience - Near 24014
I have been in the Health Insurance business for 31+years. During this time I have been from data entry, customer service, executive inquiry, underwriting, provider contracting,Quality Analyst, Internal Provider Relations Representative, Provider Date Analyst (loading provider and fee schedules), outside Provider Relations Consultant. I am currently working through a temporary agency with Anthem as a Quality Analuyst.
Ideal Companies: Anthem, United Health, Health Insurance
Tags for this Online Resume: Contracting Analyst, Provider Relation Consult, Quality Analyst, , Provider Contractor, Provider Relations Consultant, Fee schedule loads, analyst, health insurance claims, provider relations
Claims Adjuster - 7 Years of Experience - Near 32757
Summary Demonstrated achiever with exceptional knowledge of business administration, management and business processes Strong analytical, customer service and time management skills * Ability to learn new concepts quickly, works well under pressure, works well in ever changing environments, ability to meet stringent deadlines * Extensive computer knowledge, including knowledge of multiple networking environments and busines...
Tags for this Online Resume: Accounts Receivable, Arbitration, Billing, Business Software, Coding, Customer Service, Fraud, Fraud Detection, ICD-9, Insurance
Quality Manager - 15 Years of Experience - Near 30076
Areas of Expertise Quality Assurance Management Quality Management Systems (QMS) ISO 9001 Lean Six Sigma Tools & Principles Supplier & Contract Manufacturer Quality Assurance Corrective/Preventive Action Customer Service and Claim Resolution Process and Product Audits Control Plan Development and Implementation Reliability Engineering Regulatory Compliance Site & Product Certification Continuous Improvement and Problem Solv...
Tags for this Online Resume: Compliance, Failure Analysis, ISO, ISO 9001, Product Development, Quality Assurance, Solar Cells, Test, Project Management, Project Manager
Insurance Appraiser - 20 Years of Experience - Near 91381
Qualifications Profile * Self-motivated, and result-driven insurance professional with more than 36 years providing high-performance customer service, claims management, material damage appraisals and adjustment, and salvage yard estimation in the heavy equipment and automotive insurance industry. * Detail-oriented, well-organized, and resourceful to optimize limited resources to achieve outstanding results. * Proven adapta...
Tags for this Online Resume: HR, Human Resources, Appraisals, Documentation, CT, Insurance, Insurance Claims, Audit, Arbitration, Auto Insurance
Business Analyst - 5 Years of Experience - Near 60466
Familiarity with source control concepts (checking in code, branching, checking out) * Experience writing scripts for automation processes. * Experience with mainframe applications * Experience with IBM technology suites * Experience with SQL, JAVA, Phython and C# programming languages. * Successfully implemented and deployed (systems upgrades, code changes, claim adjudication, application changes) releases across all 5 (IL...
Tags for this Online Resume: Management, Support, Quality, Services, Training, Analytical Skills, Customer Service, Research, PeopleSoft, Computer Aided Software Engineering
Claims Examiner - 20 Years of Experience - Near 01821
Profile Operations professional who has demonstrated the ability to lead diverse teams of employees to new levels of success in a variety of highly competitive industries and fast-paced environments. Strong business qualifications with an impressive track record of more than 25 years of hands-on experience in strategic planning, business development, customer service and claims operations management.
Tags for this Online Resume: Inventory, Inventory management, Leadership, Management, Claims Adjuster, Documentation, Litigation, Insurance, Computer Aided Software Engineering, Construction, insurance, customer service, investigator
Case Manager - 7 Years of Experience - Near 85233
SUMMARY Experience in leave administration for Intermittent and Continuous FMLA claims concurrent with various State leave laws as well as client specific policy tracking across multiple states. Management of Short Term Disability claims under both self-insured and fully-insured policy plans. Tracking leave of absence for FMLA, Parental, Personal Leave of Absence, Personal Medical Leave of Absence, Medical Leave of Absence,...
Tags for this Online Resume: Absence Management, Clarify, Data Processing, Insurance, Documentation, Medical, Integrate, Communication Skills
Claims Examiner - 16 Years of Experience - Near 15241
Summary of Qualifications Meaningful accomplishments, measurable results and solutions in the areas of Medical Claims Administration, Operations, Audit, Vendor Resources, Budget Management, Acquisition, Training, and Development of Employee Capital in customer service and claims driven organizations.
Tags for this Online Resume: Sr. Level Claims Management, Customer Service, Sales Support, Audit Management, Upper Mid West, North East and Mid Alt States, Billing and Premium, IT system review, Benefits, Insurance
Billing/Coding Specialist - 20 Years of Experience - Near 76013
SUMMARY Diversified business professional with extensive management experience and superb customer service and claims skills. Enthusiastic team player, manage complex tasks and meet critical deadlines. Well organized and detail-oriented, top performer, easily adapt to ever changing environments and challenges. Experience in consulting with senior management and cross-functional teams.
Tags for this Online Resume: Billing, Insurance, Process Improvements, Leadership, Leadership Development, Medicare, Accounts Receivable, Coding, Management, Accounting
Manager - 15 Years of Experience - Near 75233
CAREER SUMMARY Comprehensive management experience in the fields of warehousing and purchasing. Accomplished professional who is passionate and focused on creating result- driven continuous improvement. Collaborative manager and change agent that assess the problem, develop strategic plans, and execute solutions. Utilize appropriate best practices to eliminate waste and inefficiencies. Solid track record in directing operat...
Tags for this Online Resume: Logistics, Purchasing, Supply Chain, 5S, Inventory, Inventory management, Management, Billing, Complaints, Financial, management
